Age-related erectile dysfunction is a violation of potency in men over 40, associated mainly with physiological changes. The older the person, the higher the risk of developing such a pathology. It significantly spoils the quality of sexual life or even leads to its complete cessation, so the patient needs competent treatment.
Description of erectile dysfunction
By this disease is understood a persistent violation of erection, which over time without proper treatment only increases. As a result, a man experiences difficulties in performing reproductive function and satisfying his needs for an intimate life.
Age-related dysfunction may include psychological, vascular, hormonal and other varieties of the disease or may have some of their symptoms. A huge influence is also due to the fact that over the years, men are producing less testosterone. As a result of this deficiency, the libido and sensitivity of the phallus decrease, and problems arise with excitation.
Here is a table that indicates at what age erectile dysfunction manifests itself most often:
|A place||Age group||Percent|
|2||40-50 years old||48%|
|3||30-40 years old||27%|
|4||20-30 years old||21%|
The main causes of age-related erectile dysfunction
If at a young age this is mainly a consequence of mental disorders, then individuals over the age of 40 most often identify impotence of an organic species associated with poor physical health. It can be caused by a malfunction in the cardiovascular system, a change in the hormonal background, inflammatory diseases of the genitourinary system. Accordingly, it is possible to identify hormonal factors and those that are associated with poor blood supply to the phallus.
Let’s take a closer look at the causes of age-related erectile dysfunction:
- Diseases of the endocrine system. Here, for example, there may be a shortage of thyroid hormones TSH. With their deficiency, this organ can not function at full strength, which can lead to dysfunction of the testicles. It in turn lowers the sensitivity of the phallus and provokes impotence.
- Atherosclerosis. In most cases, it develops after 40-50 years and eventually leads to a violation of the integrity of the vessels, worsening the flow of blood to the genitals. This is the key point, because without it, it can not increase to a volume sufficient to accomplish coitus.
- Arterial hypertension. This chronic increase in blood pressure is above 140/90 mm Hg. Art. Among men over 40, these figures are very common, and this disease leads to a violation of blood circulation, including nutrition of penile tissues.
- Inflammation of the urogenital system. These include pyelonephritis, urethritis, cystitis. All this is often supplemented with prostatitis, which on average is revealed in every 10 men over 50 years old.
- Diabetes mellitus. This disease can be considered as a cause of impotence, if only because it increases the permeability of blood vessels, can lead to neuropathy, cardiovascular pathologies and thereby increases the risk of age-related erectile dysfunction.
- Constant nervous tension. This is important for psychogenic erectile dysfunction. In this case, chronic sleep deprivation, quarrels in the family, problems at work – all that causes stress and fatigue can become a trigger.
- Neurogenic causes. Here it is necessary to note the suffered trauma in the pelvic region, a stroke or a heart attack. Erectile dysfunction can also be caused by prostate adenoma.
The main symptoms of age-related erectile dysfunction
Its main feature is a bad reaction to the “pathogen”, which is characterized by the absence or slight increase in the size of the phallus before sexual intercourse. He can not get enough hardness to start copulation or quickly lose it during sexual intercourse.
Among the secondary symptoms of age-related erectile dysfunction should be noted violations of the cardiovascular, endocrine and genitourinary system.
For completeness of the picture, it is necessary to consider all the features in detail:
- No quick reaction. A slow increase in the volume of the penis may indicate that its sensitivity is lowered or the blood flows badly to the tissues.
- Weak erection. It manifests itself in a slight increase in the size of the penis in the erect state or its rapid decrease during coition. As a result, a man can not lead a full intimate life, although the ability to fertilize is still preserved.
- Rare erections. You can talk about them when they do not occur more than once a week. In this case, excitement, as well as the very desire for intimate relations, may well persist.
- Premature ejaculation. It can be both permanent and temporary, normalizing over time. This is usually associated with vascular disorders.
Diagnosis of age-related erectile dysfunction
First and foremost, the andrologist must establish or refute the presence of diseases that contribute to the development of such pathology. These include hypertension, diabetes mellitus, prostate adenoma. Also the patient should be examined for abnormalities in the work of the genitourinary system, hormonal dysfunctions and arteriosclerosis. For this, a visual examination and anamnesis is first performed in the patient.
From the basic methods of research it is necessary to allocate:
- Ultrasound of the penis. With its help, you can assess the condition of the cavernous bodies, see if they have stagnation of blood, plaques, scarring. This method is informative in the case of detection of benign and malignant neoplasms in the penis, thrombosis of blood vessels and deterioration of blood flow. This method is irrelevant for severe inflammation of the penis.
- Bacteriological smear. It takes a urologist from the urethra to exclude the infection of streptococci, staphylococci and other types of infections. If their presence is confirmed, a test is conducted for the sensitivity of these pathogens to certain antibiotics.
- Blood test. He surrenders to determine the level of sugar, hormones (testosterone and prolactin) and lipids (cholesterol), as well as to detect anemia. For this purpose, the number of erythrocytes in the blood is counted and its color is carefully analyzed.
- Test for the study of nocturnal erection. It allows you to assess how often it occurs in a dream, and diagnose “impotence”, if this happens less than 5 times. To determine these parameters, the penis is measured in a calm and erect state throughout the night. For this purpose, special loops are fixed on it, which, when the penis is excited, is stretched, and information on this is fed to the electronic sensor.
- Biotesiometry of the penis. This method involves determining its sensitivity through vibration generated by vibrations that are generated by a special device. The received data are analyzed taking into account a certain scale, Generic cialis which results in the diagnosis. In the presence of impotence, the genital organ usually does not react to the radiated waves, which can indicate damage to the nerves.
- PSA test. It makes sense if there are suspicions not only of impotence, but also of malignant neoplasms in the prostate gland. This is an ordinary blood test to identify cancer markers, two days before which it is necessary to abandon intimate proximity, prostate massage, smoking and harmful food (fried, salted, spicy).